To clarify the precise mechanisms involved in the reduced coronary flow reserve in hypertension, we com- is a vasoconstrictor and trophic factor that mediates contractile and proliferative actions in hypertension mainly by stimulating the Ang II type 1 (AT1) receptor (4, 5). Ang II is also important for vascular remodeling, since inhibition of the renin-angiotensin system with angiotensin-converting enzyme (ACE) inhibitors or AT1 receptor antagonists corrects vascular structure and endothelial dysfunction in small arteries, including endothelial dysfunction of the coronary vasculature, impairment of coronary hemodynamics, LV hypertrophy, and contractile dysfunction, thereby exacerbating myo-